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Form MC355 Medi-Cal Request for Information - California
What Is Form MC355?
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the MC355 Medi-Cal Request for Information form?
A: The MC355 form is used to request information related to Medi-Cal in California.
Q: Who can use the MC355 Medi-Cal Request for Information form?
A: Individuals or authorized representatives who need to obtain specific information about their Medi-Cal case can use this form.
Q: What information is required on the MC355 Medi-Cal Request for Information form?
A: You need to provide your personal information, case number, and specific details about the information you are requesting.
Form Details:
- Released on July 1, 2018;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Available in Chinese;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form MC355 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form MC355 Medi-Cal Request for Information - California
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